Indiana
Professional Licensing Agency
Anton J. Crepinsek, Jr.
Controlled Substance Registration - Physician
License number
01036253B
Date granted
09/20/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Memorial Hospital Family Medicine Residency Program, 714 N. Michigan St., South Bend IN 46601
indianalicensing.org
ID 5920423
LAST UPDATED 2024-03-09 10:26:21 UTC
LAST UPDATED 2024-03-09 10:26:21 UTC
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